Active NPI
Holley Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Troy, AL
National Provider Identifier
1699710285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 173
- Legal business name
- HOLLEY MEDICAL, INC.
- Practice address
- 513 S Brundidge St
Troy, AL 36081-3333 - Phone
- (334) 566-7963
- Fax
- (334) 566-0847
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Holley
- Title
- Vice President
- Phone
- (334) 566-7963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 173 | AL | Primary |
Addresses
Primary practice location
513 S Brundidge St
Troy, AL 36081-3333
Mailing address
513 S Brundidge St
Troy, AL 36081-3333
Phone (334) 566-7963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56774 | Other | AL | BC/BS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
513 S Brundidge St
Troy, AL 36081
Phone (334) 566-7963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1699710285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 S BRUNDIDGE ST",
"city": "TROY",
"state": "AL",
"postal_code": "360813333",
"telephone_number": "334-566-7963",
"fax_number": "334-566-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 S BRUNDIDGE ST",
"city": "TROY",
"state": "AL",
"postal_code": "360813333",
"telephone_number": "334-566-7963",
"fax_number": "334-566-0847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLEY MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "HOLLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "334-566-7963"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "56774",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.